Cancer Data for South Florida: A Tool for Identifying Communities in Need

Cancer Data for South Florida: A Tool for Identifying Communities in Need Report to the Health Foundation of South Florida Supported by an Administrative Grant to the University of Miami Sylvester Comprehensive Cancer Center June 2010 (Revised 9-3-10) Disparities and Community Outreach Core Erin Kobetz, PhD, MPH, Director Dorothy Parker, MHS, Manager 1120 NW 14 th St., C-202 Miami, FL 33136 305-243-1120 www.sylvester.org/dcocore

Table of Contents Page Executive Summary... 1 Methods... 2 Findings... 5 Breast Cancer... 6 Cervical Cancer... 9 Colorectal Cancer... 11 Summary... 14 Acknowledgements and References... 15 List of Appendices... 16 Appendix 1: Breast Cancer - Broward County Appendix 2: Breast Cancer - Miami-Dade County Appendix 3: Breast Cancer - Monroe County Appendix 4: Cervical Cancer - Broward County Appendix 5: Cervical Cancer - Miami-Dade County Appendix 6: Cervical Cancer - Monroe County Appendix 7: Colorectal Cancer - Broward County Appendix 8: Colorectal Cancer - Miami-Dade County Appendix 9: Colorectal Cancer - Monroe County Appendix 10: Demographic data for Miami-Dade and Broward Counties by ZIP Code Appendix 11 Cancer Screening Guidelines Appendix 12 Broward County ZIP Code Map Appendix 13 Miami-Dade County ZIP Code Map List of Tables, Figures and Appendices Page Table 1 Incidence and Mortality Data for South Florida Counties, Florida and US... 5 Table 2 Percent Late Stage Breast Cancer... 6 Table 3 ZIP Codes with Significantly High Percent of Late Stage Breast Cancer... 6 Table 4 Percent Lage Stage Cervical Cancer... 8 Table 5 ZIP Codes with Significantly High Percent of Late Stage Cervical Cancer... 8 Table 4 Percent Lage Stage Colorectal Cancer... 10 Table 5 ZIP Codes with Significantly High Percent of Late Stage Colorectal Cancer... 10

Executive Summary One of the most effective ways to reduce cancer morbidity and mortality is through early detection and treatment. Increasing awareness and use of the available screening technologies for breast, cervical and colorectal cancer can contribute to increased survival and fewer deaths. In some communities, people get regular screening, and if cancer is suspected, receive timely and appropriate treatment. However, in other communities, as shown in this report, people are diagnosed with breast, cervical or colorectal cancer when it is advanced (late stage) and when the likelihood of successful treatment is lower. Early stage at diagnosis is correlated with higher survival rates. To identify such areas in Broward, Miami-Dade and Monroe counties, the percent of breast, cervical and colorectal cancers diagnosed at late stage was calculated for each residential ZIP Code in the three counties. Data from Florida Cancer Data System for cases diagnosed from 2004-2008 were examined. We also compared the percent late stage for 2004-2008 data to an earlier time period (1997-2001) published in a previous report. The results were compared to state and national data. Age-adjusted incidence and mortality rates for the three cancer sites was also examined and compared to state and national data. This report identifies areas in South Florida where the percentage of people diagnosed with breast, cervical or colorectal cancer at an advanced stage is higher than other areas of the county, the state or for the US. For example, the percentage of women with breast cancer diagnosed at late stage is significantly higher in eight ZIP Codes in both Broward and Monroe Counties. For colorectal cancer, there are seven ZIP Codes in Broward County and three in Miami-Dade with significantly higher percentages of late stage diagnoses. There is an overlap in only one ZIP Code in Miami Dade and three in Broward. Fewer ZIP Codes have significantly high percentage of late stage cervical cancer (three in Miami-Dade), however, because of the nature of cervical cancer and the high prevalence of precancerous conditions which are not included in the data, the screening may be important throughout the region. With routine screening, all late stage cervical cancers could be eliminated. This information can be used to plan and evaluate programs that aim to increase awareness of cancer screening and to promote regular use of screening tests. Understanding the composition of communities at greatest risk can help guide culturally and linguistically appropriate programs. The information can also be used to develop interest within the communities to be involved in planning and implementing cancer control programs. The report was prepared by the Disparities and Community Outreach Core (DCO Core) at the University of Miami Sylvester Comprehensive Cancer Center. The DCO Core is actively involved in developing community partnerships with UM researchers to help reduce local cancer disparities. Using data such as the percent of late stage cancers can help plan studies and interventions to improve cancer outcomes in South Florida, involving both academic researchers, funding agencies such as the Health Foundation of South Florida, and community-based organizations. 1

METHODS Data Sources All newly diagnosed cases are reported to Florida s central cancer registry, the Florida Cancer Data system (FCDS), as mandated by state law (http://fcds.med.miami.edu). Data in this report were extracted from the FCDS Confidential CD, acquired by the Disparities and Community Outreach Core, University of Miami Sylvester Comprehensive Cancer Center in April 2010. The acquisition of the CD was approved by the Florida Department of Health, Bureau of Epidemiology. Use of the data for planning purposes has been approved by the Department of Health s Institutional Review Board. State and county cancer incidence and mortality data were extracted from the Florida Cancer Data System (FCDS) using their online IDEA program. U.S. cancer data are from the National Cancer Institute s Surveillance, Epidemiology and End Results (SEER) Program (http://seer.cancer.gov), specifically from the SEER Cancer Statistics Review 1975-2006. Case Selection Cases were selected from the FCDS database as follows: 1. County of residence (Broward, Miami-Dade and Monroe) at the time of diagnosis, not where the person was diagnosed or treated. 2. Primary cancer site - breast (female only), cervix and colorectal cancer Colorectal cancer includes cancers of appendix, ascending colon, cecum, descending colon, hepatic flexure, large intestine, rectosigmoid junction, rectum, sigmoid colon, splenic flexure, transverse colon, and colon not otherwise specified 3. Date of diagnosis January 1, 2004 through December 31, 2008. To have a significant number of cases at the ZIP Code level, the most recent five-year period was examined. Cases were selected by primary site of diagnosis for female breast, cervical and colorectal cancers. All duplicate records were excluded from the analysis. SPSS Statistics 17.0 software was used to extract this data. Results were transferred to Microsoft Excel for further analysis. Analysis by ZIP Code FCDS geocodes each person s address. This process involves identifying the longitude and latitude of each address and determining the Census Tract and ZIP Code in which the address is located. This report uses ZIP Codes, which are larger than Census Tracts and thus appropriate for general planning purposes for conditions where numbers are not high. ZIP Codes created by the US Postal Service for the convenience of mail delivery and may include neighborhoods of varying socio-economic make up. However, for program planning purposes, they are convenient and understandable geographic units. See Appendices 12 and 13 for ZIP code maps of Miami-Dade and Broward counties. 2

Time Trend Analysis Data for 2004-2008 were compared to data for 1997-2001 or 1997-2002. The previous time period was examined by researchers at the University of Miami Sylvester Comprehensive Cancer Center through a grant from the American Cancer Society, Florida Division. Dr. Robert Kirsner was the Principal Investigator on the report issued in January 2004. The report, Cancer Among Indigent Populations in Miami-Dade County, did not include Broward or Monroe county data. Data for those counties were extracted a year later, so comparisons in this report are for 1997-2002. To compare the two time periods, the absolute difference in the percent of late stage cancers was calculated. ZIP Codes where the percentage of late stage cancers increased by more than 10% are highlighted in Appendices 1-7. Some ZIP Codes in all three counties were not included in the previous analysis; they were omitted due to small number of cases. The percentage of late stage diagnoses in the earlier report (1997-2001/2002) included non-invasive (in situ) cases in the denominator and the numerator in the calculation of the percent late stage cases. Since this report (2004-2008) does not include in situ cases, the comparison of the two time periods should be interpreted with caution. It is still useful for program planning purposes, and the difference is not likely to be significant because the number of in situ cases for each cancer site at the zip code level is low and likely has little affect the percentage of late stage cases. In addition, not all in situ cancer cases are reported to the FCDS. This is particularly true for cervical cancer, for which in situ cases are not required to be reported to FCDS. For this cancer site, excluding in situ cases is the preferable method. For the purpose of targeting areas at greatest need, the most recent time period provides the best picture. The time trend comparison is also limited by changes in the population. Cancer Sites and Staging The data in this report are based on stage of disease at initial diagnosis. Using the SEER Summary Stage variable, the number of cases diagnosed as local, regional and distant stage was examined. The percentage diagnosed as regional and distant were combined as late stage and a percentage of the total number of invasive cancers was calculated. Cases reported as in situ (non-invasive) or unknown stage were excluded from the calculations. Number of Cases and Confidentiality Rules If there were fewer than 10 cases during the 5 year period, the data are not displayed, in compliance with the confidentiality rules from the FCDS. Percentages based on small numbers (<10 in the numerator and <50 in the denominator) may not be reliable Identifying Areas of Interest In Appendix 1-7, ZIP Codes where the percentage of late stage cancers is higher than the percentage for the county as a whole are shown in red text. The percentage of late stage diagnoses for each ZIP Code and for each cancer site was compared to the percent for the county in which the ZIP Code is located. Differences between the percentage for each ZIP Code and the county were calculated. To determine if these differences are significantly higher or lower than the county, a level onesample exact binomial test was used. Where the probability (p) value is less than 0.10 for a specific 3

ZIP Code, this represents a statistically significantly higher (or lower) percentage compared to the county. This means that the likelihood that the difference occurred by chance alone is less than 10%. ZIP Codes where the percentage is significantly different from the overall county percent are marked with a check ( ) in Appendices 1-7. There are also mentioned in the text and shown on Figures 1-4. Population and Socio-Demographic Data The analysis does not take into account the number of people living in each ZIP Code. Population data by ZIP Code will be available after the 2010 census is completed, Data from the 2000 US Census may not be reliable at this time. Estimates of population for Miami-Dade and Monroe Counties are in Appendix 9. Interpretation of Results There are some limitations to the interpretation of the data in this report. The report examines the percentage of people diagnosed with cancer when the cancer is at a more advanced (late) stage. Although regular screening for breast, cervical and colorectal can find cancer when it is at an early stage, some people who have regular screening may be found to have cancer at a late stage. This may be because the tumor is aggressive, or it may be for other reasons specific to that individual. However, for planning community-level interventions, the percentage of late stage diagnosis in a geographic area is a useful indicator of the need for screening, early detection and treatment programs. This report does not examine the incidence of cancer at the ZIP Code level and should not be used to imply personal or environmental risk or causation related to ZIP Code. Since the data are based on where each person lived at the time they were diagnosed, there is no information on how long the person actually lived at that location. Cancer can take a long time to develop, so any environmental risk may be associated with their prior residence. Another limitation is that ZIP Codes are areas developed by the U.S. Postal Service to facilitate the sorting and delivery of mail. There is variation in the number of people who live in a ZIP Code (see Appendix 10) and there can be significant demographic variation within a ZIP code, e.g., some ZIP Codes may have both wealthy and poor areas. Knowledge of the demographic characteristics of the area, and of communities within the area, can help in the interpretation and application of this data. 4

Findings Overview The average annual numbers of cases for breast, cervical and colorectal cancer for Broward, Miami- Dade, and Monroe counties for 2004-2008 are shown in Table 1. Table 1 also shows age-adjusted incidence and mortality rates for each county, the State of Florida and to the US. 1 Compared to the State of Florida, the three south Florida counties have a slightly higher percentage of late stage cases for all three cancer sites. At the county level, there little (1-2% difference) in the percentage of cases diagnosed at late stage, with the exception of cervical cancer in Monroe County (see note regarding the small number of cases in the cervical cancer results section). Table 1: Incidence and Mortality Data for South Florida Counties, Florida and US County/Area Average Annual Number of Cases INCIDENCE Age-Adjusted Incidence Rate Average Annual Number of Deaths MORTALITY Age-Adjusted Mortality Rate Breast Cancer BROWARD 1,176 106.8 254 21.0 MIAMI-DADE 1,434 101.1 310 20.9 MONROE 48 89.7 11 20.7 FLORIDA 12,715 108.1 2,655 20.9 US 184,450 123.8 40,930 24.5 Cervical Cancer BROWARD 101 10.2 34 3.2 MIAMI-DADE 137 10.3 36 2.6 MONROE 3 4.9 2 2.9 FLORIDA 875 9.0 281 2.6 US* 11,070 8.2 3,870 2.5 Colorectal Cancer BROWARD 909 42.2 328 14.5 MIAMI-DADE 1,247 47.2 436 16.4 MONROE 46 44.4 13 12.6 FLORIDA 10,153 42.8 3,703 15.1 US 148,810 49.1 49,960 18.2 Age-Adjusted Rates: per 100,000, adjusted to the 2000 US Standard Population Sources: Florida Cancer Data System, the National Cancer Institute SEER Cancer Statistics Review 1975-2006 and the American Cancer Society Facts & Figures 2008 1 Florida numbers include Miami-Dade and Broward, two large counties that combined, account for approximately 20% of all cancers in Florida. Florida cases accounts for approximately 7% of US cases. 5

The following sections describe the results for each cancer site. Breast Cancer In the United States, breast cancer is the most common type of cancer among women and the second leading cause of cancer deaths, accounting for 28% of all new cancers among women and 15% of cancer deaths. Improvements have been made in the early detection of breast cancer through mammography screening and survival rates have increased for most groups of women. However, some women are still getting diagnosed at late stage breast cancer. Almost 40% of women in the US are diagnosed at late stage breast cancer, and approximately 41,000 women die each year from breast cancer. The relative five-year survival rate 2 for women diagnosed with local stage breast cancer is very high (98%) compared to 85% for regional and 23% for distant stage (ACS Facts & Figures 2010, p. 17). In the three South Florida counties, there are approximately 2,700 new cases of breast cancer among women each year, and almost 600 deaths. The age-adjusted incidence and mortality rates in these counties are lower than the rate for Florida and for the US. More than one-third of the new cases were diagnosed at late stage of disease. In the US, 39% of invasive breast cancers among women are diagnosed at late stage. In Florida, the percentage is slightly lower (35%). In the three South Florida counties, the percentage of late stage breast cancer diagnosis is slightly higher than the state percentage (see Table 2). In some ZIP Codes in each of the counties, more than half of the women are diagnosed at late stage breast cancer, the highest being in Miami-Dade County at 59%. Table 2: Percent Late Stage Breast Cancer Percent late stage by county Highest ZIP Code* Lowest ZIP Code* Broward 36% 53% 23% Miami-Dade 39% 59% 22% Monroe 37% 45% 18% Florida 35% US 39% * excluding ZIP Codes where the percentage is based on fewer than 10 cases See Appendices 1, 2 and 3 for the percentage of late stage breast cancer for each ZIP Code. Broward and Miami-Dade counties both had eight ZIP Codes where the percent late stage diagnosis of breast cancer is significantly higher than the county percentage (Table 3). No ZIP Codes in Monroe County were significantly higher than the county percentage. 2 The percentage of cancer patients who are alive five years after diagnosis, adjusted for normal life expectancy. 6

Table 3: ZIP Codes with significantly high percentage of late stage breast cancer cases Broward Miami-Dade County 33004 (Dania) 33016 (Hialeah) 33023 (Hollywood) 33055 (Opa Locka) 33028 (Hollywood) 33056 ( Opa Locka) 33068 (Pompano Beach) 33125 (Miami) 33309 (Fort Lauderdale) 33136 (Miami) 33011 (Fort Lauderdale) 33150 (Miami) 33317 (Fort Lauderdale) 33169 (Miami) 33332 (Fort Lauderdale) 33181 (Miami) In Broward County, these ZIP Codes are scattered throughout the central and southern parts of the county some on the eastern side and some to the west. In Miami-Dade County, there are clusters in the northern part of the county, near the Broward County line, as well as in the central part of the county, west of downtown. Part of the northern cluster is continuous with the areas of Broward County with high percentages. 7

Time Trend In the ZIP Codes for which time comparisons could be made, there was more than a 10% increase in the percent late stage breast cancer cases between the two time periods by county as follows (see Appendices 1-9 for details): Broward County Miami-Dade County Monroe County 25 of 54 ZIP Codes 20 of 80 ZIP Codes none 8

Cervical Cancer In the United States, cervical cancer accounts for less than 2% of both new cancers and cancer deaths among women. An estimated 12,200 women will be diagnosed with cervical cancer in the US this year, and 4,210 women will die from this disease. Regular Pap test screening and prompt treatment can prevent many of these deaths. Pap test can detect abnormalities before they become cervical cancer. Pre-cancerous conditions are not reported to central tumor registries and are not included in this report; the numbers in this report are only for invasive cancers of the cervix. For invasive cervical cancer, the relative five-year survival rate for women diagnosed at an early stage is 92% compared to 58% for regional and 17% for distant stage (ACS Facts & Figures 2010, p. 17). In the US, 48% of invasive cervical cancers are diagnosed at late stage. In Florida, the percentage is higher (51%). In Broward and Miami-Dade Counties, the rate is slightly higher than for the state (53%). In Monroe County, there were only 10 cases during the five-year period but 7 (70%) were diagnosed at late stage. Table 4: Percent Late Stage Cervical Cancer Percent late stage Highest ZIP Code Lowest ZIP Code Broward 53% 64% 31% Miami-Dade 53% 91% 29% Monroe 70% * * Florida 51% US 48% * excluding ZIP Codes where the percentage is based on fewer than 10 cases See Appendices 4, 5 and 6 for the percentage of late stage cervical cancer for each ZIP Code. In Miami-Dade Counties, three ZIP Codes had significantly high percent late stage diagnosis of cervical cancer (see Table 5). There were none in Broward County. Analysis was not done for Monroe County due to the small number of cases. Table 5: ZIP Codes with significantly high percentage of late stage cervical cancer cases Miami-Dade County 33161 (Miami) 33176 (Miami) 33179 (Miami) 9

Time Trend In the ZIP Codes for which time comparisons could be made, there was more than a 10% increase in the percent late stage cervical cancer cases between the two time periods by county as follows (see Appendices 1-9 for details): Broward County Miami-Dade County Monroe County 4 of 62 ZIP Codes 12 of 101 ZIP Codes 1 of 11 ZIP Codes 10

Colorectal Cancer In the United States, colorectal cancer is the third most common type of cancer and cause of cancer death among both men and women, accounting for 9-10% of cases and deaths). An estimated 142,570 men and women will be diagnosed with colorectal cancer in the US this year, and 51,370 women will die from this disease (ACS Facts & Figures 2010, p. 4 & 10). Screening can detect pre-cancerous polyps as well as early stage cancers. Colonoscopy screening is recommended for adults age 50 and over. Fecal occult blood tests can also identify potential cancers when followed by the more definitive colonoscopy exam. As with breast and cervical cancer, incidence rates and survival have improved for many. However, the rate of screening for colorectal cancer is lower, and 59 % of cases in the US are diagnosed at late stage. Survival rates for colorectal cancer diagnosed at the local stage are 91% compared to 70% for regional and 11% for distant stage (ACS Facts & Figures 2010, p. 17). In the US, 59% of colorectal cancers are diagnosed at late stage. In Florida, the rate is 57%. In all three South Florida counties, the percentages are comparable (see Table 6). However, in some ZIP Codes in each of the three counties, more than half are diagnosed at late stage, with the highest area being in Miami-Dade County at 59%. Table 6: Percent Late Stage Colorectal Cancer Percent late stage Highest ZIP Code Lowest ZIP Code Broward 59% 86% 38% Miami-Dade 61% 72% 27% Monroe 61% 75% 43% Florida 57% US 59% * excluding ZIP Codes where the percentage is based on fewer than 10 cases See Appendices 7, 8 and 9 for the complete list of ZIP Codes by county In seven Broward County and three Miami-Dade ZIP Codes, the percent late stage diagnosis of colorectal is significantly higher than the county percentage (see Table 7). No ZIP Codes in Monroe County were significantly higher than the county percentage. Table 7: ZIP Codes with significantly high percentage of late stage colorectal cancer cases Broward Miami-Dade County 33009 (Hallandale) 33161 (Miami) 33020 (Hollywood) 33162 (Miami) 33023 (Hollywood) 33186 (Miami) 33024 (Hollywood) 33314 (Fort Lauderdale) 33326 (Fort Lauderdale) 33332 (Fort Lauderdale 11

In Broward County, these ZIP Codes are in the southeastern and southwestern parts of the county. In Miami-Dade County, two ZIP Codes are in the northeast and one is in the west Kendall area 12

Time Trend In the ZIP Codes for which time comparisons could be made, there was more than a 10% increase in the percent late stage colorectal cancer cases between the two time periods by county as follows (see Appendices 1-9 for details): Broward County Miami-Dade County Monroe County 8 of 60 ZIP Codes 7 of 92 ZIP Codes 1 of 8 ZIP Codes 13

SUMMARY In certain areas within the tri-county South Florida region, the percentage of people diagnosed with breast, cervical or colorectal cancer at an advanced stage is higher than other areas of the county, state or US. Routine screening is recommended for these cancers. The screening guidelines vary for each site, and apply to groups at highest risk based on age, family history, race, and other factors. Programs to increase awareness of the value of screening, as well as referrals to facilities that offer screening, may help improve cancer morbidity and mortality in our community. Cancer screening guidelines from the American Cancer Society and the Centers for Disease Control and Prevention (CDC) can be found in Appendix 11. The CDC guidelines are based on recommendations from the US Preventive Health Services Task Force. There is some controversy about some of the guidelines. People are encouraged to talk to their doctor to determine which guideline is best for them. There are many resources in South Florida for cancer screening. Distribution of information about these resources, including who they serve and how to access their services, is needed. Cost, scheduling, transportation and other barriers may prevent some people from getting the screening they need. Others may be afraid of screening or are uncomfortable with issues related to cancer. There are also many resources in this area for addressing these barriers and concerns. Screening is only part of the picture if any problems are detected, people need to be have access to the appropriate medical care. The Health Foundation of South Florida supports many programs to improve outcomes for breast, cervical and colorectal cancer in Broward, Miami-Dade and Monroe counties. The data in this report can be used as a guide for targeting programs in areas of greatest need. The need is not limited to the areas highlighted in this report. The percentage of cases diagnosed at late stage is one way of measuring need, but it is not the only way. The data provide one aspect of a comprehensive needs assessment which can help guide program planning decisions. Looking at these data periodically, e.g., every three years, can also help examine progress or identify new areas in need. 14

Report prepared by: Dorothy F. Parker, MHS Manager, Disparities and Community Outreach Core Acknowledgements: Jonathan Kish, MPH, Doctoral Candidate and Research Assistant, University of Miami Miller School of Medicine, Department of Epidemiology and Public Health Tulay Koru-Sengul, PhD, University of Miami Miller School of Medicine, Department of Epidemiology and Public Health, and Sylvester Comprehensive Cancer Center, Biostatistics and Bioinformatics Core Marsha Stevens, MPH, Senior Research Associate, Disparities and Community Core, Sylvester Comprehensive Cancer Center References American Cancer Society. Cancer Facts & Figures 2010. Atlanta: American Cancer Society; 2010. Altekruse SF, Kosary CL, Krapcho M, et al. (eds). SEER Cancer Statistics Review, 1975-2007, National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2007/. 15

LIST OF APPENDICES Appendix 1: Appendix 2: Appendix 3: Appendix 4: Appendix 5: Appendix 6: Appendix 7: Appendix 8: Appendix 9: Appendix 10: Appendix 11 Appendix 12 Appendix 13 Appendix 14 Breast Cancer - Broward County Breast Cancer - Miami-Dade County Breast Cancer - Monroe County Cervical Cancer - Broward County Cervical Cancer - Miami-Dade County Cervical Cancer - Monroe County Colorectal Cancer - Broward County Colorectal Cancer - Miami-Dade County Colorectal Cancer - Monroe County Demographic data for Miami-Dade and Broward Counties by ZIP Code Cancer Screening Guidelines Broward County ZIP Code Map Miami-Dade County ZIP Code Map Monroe County ZIP Code Map 16

APPENDIX 1: BREAST CANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent of Cases Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33004 DANIA 60 48% 33009 HALLANDALE 129 35% 33019 HOLLYWOOD 72 36% 33020 HOLLYWOOD 108 31% 33021 HOLLYWOOD 206 34% 33023 HOLLYWOOD 156 44% 33024 HOLLYWOOD 190 37% 33025 HOLLYWOOD 149 40% 33026 HOLLYWOOD 126 34% 33027 HOLLYWOOD 184 31% 33028 HOLLYWOOD 66 47% 33029 HOLLYWOOD 103 40% 33060 POMPANO BEACH 107 34% 33062 POMPANO BEACH 131 29% 33063 POMPANO BEACH 166 36% 33064 POMPANO BEACH 153 31% 33065 POMPANO BEACH 117 38% 33066 POMPANO BEACH 114 25% 33067 POMPANO BEACH 61 30% 33068 POMPANO BEACH 71 46% 33069 POMPANO BEACH 90 40% 33071 POMPANO BEACH 127 30% 33073 POMPANO BEACH 49 39% 33076 POMPANO BEACH 68 37% 33301 FORT LAUDERDALE 34 32% 33302 FORT LAUDERDALE 33304 FORT LAUDERDALE 38 37% 33305 FORT LAUDERDALE 30 23% 33306 FORT LAUDERDALE 18 44% 33307 FORT LAUDERDALE * 50% 33308 FORT LAUDERDALE 156 28% 33309 FORT LAUDERDALE 86 50% 33310 FORT LAUDERDALE * 0% 33311 FORT LAUDERDALE 123 48% 33312 FORT LAUDERDALE 132 36% 33313 FORT LAUDERDALE 143 42% 33314 FORT LAUDERDALE 50 38% 33315 FORT LAUDERDALE 33 36% 33316 FORT LAUDERDALE 43 35%

APPENDIX 1: BREAST CANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent of Cases Diagnosed at Late Stage** 33317 FORT LAUDERDALE 108 45% 33318 FORT LAUDERDALE * 50% 33319 FORT LAUDERDALE 143 38% 33321 FORT LAUDERDALE 221 28% 33322 FORT LAUDERDALE 173 32% 33323 FORT LAUDERDALE 55 31% 33324 FORT LAUDERDALE 154 35% 33325 FORT LAUDERDALE 68 37% 33326 FORT LAUDERDALE 74 34% 33327 FORT LAUDERDALE 40 43% 33328 FORT LAUDERDALE 86 38% 33329 FORT LAUDERDALE * 0% 33330 FORT LAUDERDALE 36 36% 33331 FORT LAUDERDALE 74 36% 33332 FORT LAUDERDALE 30 53% 33334 FORT LAUDERDALE 60 40% 33335 FORT LAUDERDALE * 50% 33338 FORT LAUDERDALE * 100% 33340 FORT LAUDERDALE * 0% 33351 FORT LAUDERDALE 64 44% 33355 FORT LAUDERDALE * 0% 33441 DEERFIELD BEACH 78 35% 33442 DEERFIELD BEACH 145 38% > 10% Increase in Percent Late Stage since 1997-2002 Broward County 5,323 36% State of Florida 60,091 35% US 39% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 2: BREAST CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33010 HIALEAH 110 35% 33012 HIALEAH 221 37% 33013 HIALEAH 101 41% 33014 HIALEAH 104 41% 33015 HIALEAH 117 29% 33016 HIALEAH 100 48% 33017 HIALEAH * 0% 33018 HIALEAH 96 43% 33030 HOMESTEAD 52 40% 33031 HOMESTEAD 19 42% 33032 HOMESTEAD 49 47% 33033 HOMESTEAD 63 40% 33034 HOMESTEAD 30 43% 33035 HOMESTEAD 19 37% 33054 OPA LOCKA 46 43% 33055 OPA LOCKA 126 49% 33056 OPA LOCKA 73 58% 33092 HOMESTEAD * 0% 33100 HOMESTEAD * 100% 33101 MIAMI * 33% 33109 MIAMI BEACH * 25% 33111 MIAMI * 0% 33114 MIAMI * 25% 33116 MIAMI * 100% 33122 MIAMI * 0% 33125 MIAMI 147 46% 33126 MIAMI 142 34% 33127 MIAMI 48 44% 33128 MIAMI 15 33% 33129 MIAMI 55 29% 33130 MIAMI 44 45% 33131 MIAMI 16 44% 33132 MIAMI 15 47% 33133 MIAMI 128 38% 33134 MIAMI 140 33% 33135 MIAMI 116 35% 33136 MIAMI 29 59% 33137 MIAMI 35 43% 33138 MIAMI 66 42% 33139 MIAMI BEACH 86 22% 33140 MIAMI BEACH 97 40% 33141 MIAMI BEACH 95 40%

APPENDIX 2: BREAST CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33142 MIAMI 124 38% 33143 MIAMI 98 41% 33144 MIAMI 102 43% 33145 MIAMI 105 42% 33146 MIAMI 58 40% 33147 MIAMI 114 44% 33149 KEY BISCAYNE 44 32% 33150 MIAMI 54 59% 33151 MIAMI * 100% 33152 MIAMI * 100% 33154 MIAMI BEACH 76 37% 33155 MIAMI 179 38% 33156 MIAMI 126 31% 33157 MIAMI 178 42% 33158 MIAMI 32 28% 33159 MIAMI * 50% 33160 NORTH MIAMI BEACH 159 32% 33161 MIAMI 101 45% 33162 MIAMI 117 43% 33163 MIAMI * 0% 33164 MIAMI * 67% 33165 MIAMI 211 34% 33166 MIAMI 50 42% 33167 MIAMI 35 40% 33168 MIAMI 55 47% 33169 MIAMI 100 50% 33170 MIAMI 27 48% 33172 MIAMI 98 39% 33173 MIAMI 103 37% 33174 MIAMI 93 32% 33175 MIAMI 184 36% 33176 MIAMI 209 31% 33177 MIAMI 88 44% 33178 MIAMI 53 38% 33179 MIAMI 123 37% 33180 MIAMI 129 33% 33181 MIAMI 39 59% 33182 MIAMI 22 23% 33183 MIAMI 105 38% 33184 MIAMI 73 33% 33185 MIAMI 43 35% 33186 MIAMI 178 27%

APPENDIX 2: BREAST CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33187 MIAMI 38 47% 33189 MIAMI 66 24% 33190 MIAMI 13 38% 33193 MIAMI 112 38% 33194 MIAMI * 50% 33196 MIAMI 90 40% 33239 MIAMI BEACH * 0% 33242 MIAMI * 0% 33243 MIAMI * 0% 33245 MIAMI * 0% 33247 MIAMI * 0% 33255 MIAMI * 0% 33256 MIAMI * 0% 33261 MIAMI * 0% 33265 MIAMI * 0% 33266 MIAMI * 100% 33283 MIAMI * 50% Miami-Dade County 6,667 39% State of Florida 60,091 35% US 39% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 3: BREAST CANCER - MONROE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33001 LONG KEY * 0% 33036 ISLAMORADA 21 29% 33037 KEY LARGO 54 43% 33040 KEY WEST 54 43% 33042 SUMMERLAND KEY 16 38% 33043 BIG PINE KEY 14 21% 33045 KEY WEST * 50% 33050 MARATHON 20 45% 33051 KEY COLONY BEACH * 50% 33052 MARATHON SHORES * 0% 33070 TAVERNIER 17 18% Monroe County 208 37% State of Florida 60,091 35% US 39% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 4: CERVICALCANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33004 DANIA * 67% 33009 HALLANDALE 15 53% 33019 HOLLYWOOD * 0% 33020 HOLLYWOOD 13 62% 33021 HOLLYWOOD 13 62% 33023 HOLLYWOOD 28 54% 33024 HOLLYWOOD 20 50% 33025 HOLLYWOOD 15 60% 33026 HOLLYWOOD 10 50% 33027 HOLLYWOOD 11 36% 33029 HOLLYWOOD 16 31% 33061 POMPANO BEACH * 56% 33062 POMPANO BEACH * 67% 33063 POMPANO BEACH 16 63% 33064 POMPANO BEACH 11 45% 33065 POMPANO BEACH * 63% 33066 POMPANO BEACH * 33% 33067 POMPANO BEACH * 50% 33068 POMPANO BEACH 12 42% 33069 POMPANO BEACH 12 58% 33071 POMPANO BEACH * 44% 33073 POMPANO BEACH * 40% 33076 POMPANO BEACH * 33% 33301 FORT LAUDERDALE * 100% 33302 FORT LAUDERDALE * 100% 33304 FORT LAUDERDALE * 60% 33305 FORT LAUDERDALE * 33% 33307 FORT LAUDERDALE * 0% 33308 FORT LAUDERDALE * 33% 33309 FORT LAUDERDALE * 50% 33310 FORT LAUDERDALE * 0% 33311 FORT LAUDERDALE 24 54% 33312 FORT LAUDERDALE 11 64% 33313 FORT LAUDERDALE 12 50% 33314 FORT LAUDERDALE * 63% 33315 FORT LAUDERDALE * 43% 33316 FORT LAUDERDALE * 25% 33317 FORT LAUDERDALE * 78% 33319 FORT LAUDERDALE * 63% 33321 FORT LAUDERDALE 11 45% 33322 FORT LAUDERDALE * 67% 33323 FORT LAUDERDALE * 100%

APPENDIX 4: CERVICALCANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** 33324 FORT LAUDERDALE 11 45% 33325 FORT LAUDERDALE * 83% 33326 FORT LAUDERDALE * 67% 33327 FORT LAUDERDALE * 50% 33328 FORT LAUDERDALE * 40% 33330 FORT LAUDERDALE * 0% 33331 FORT LAUDERDALE * 20% 33332 FORT LAUDERDALE * 50% 33334 FORT LAUDERDALE * 60% 33351 FORT LAUDERDALE * 50% 33441 DEERFIELD BEACH * 67% 33442 DEERFIELD BEACH * 83% Broward County 441 53% State of Florida 3,945 51% US 48% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray > 10% Increase in Percent Late Stage since 1997-2002

APPENDIX 5: CERVICAL CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33010 HIALEAH 16 63% 33012 HIALEAH 24 50% 33013 HIALEAH 12 58% 33014 HIALEAH 13 38% 33015 HIALEAH 14 43% 33016 HIALEAH 18 44% 33017 HIALEAH * 100% 33018 HIALEAH 10 40% 33030 HOMESTEAD 11 55% 33031 HOMESTEAD 11 36% 33032 HOMESTEAD 33033 HOMESTEAD * 67% 33034 HOMESTEAD * 40% 33035 HOMESTEAD 33039 HOMESTEAD 33054 OPA LOCKA * 83% 33055 OPA LOCKA 19 68% 33056 OPA LOCKA 13 62% 33090 HOMESTEAD * 100% 33125 MIAMI 26 50% 33126 MIAMI 10 60% 33127 MIAMI 19 47% 33128 MIAMI * 0% 33129 MIAMI 33130 MIAMI * 29% 33131 MIAMI 33132 MIAMI * 75% 33133 MIAMI * 13% 33134 MIAMI * 50% 33135 MIAMI * 63% 33136 MIAMI 13 62% 33137 MIAMI * 56% 33138 MIAMI * 11% 33139 MIAMI BEACH * 83% 33140 MIAMI BEACH * 100% 33141 MIAMI BEACH * 50% 33142 MIAMI 15 33% 33143 MIAMI * 43% 33144 MIAMI * 44% 33145 MIAMI 10 60% 33146 MIAMI * 0% 33147 MIAMI 10 70% 33149 KEY BISCAYNE * 50% 33150 MIAMI 12 58% 33151 MIAMI 33152 MIAMI 33154 MIAMI BEACH * 0% 33155 MIAMI * 83% 33156 MIAMI * 29%

APPENDIX 5: CERVICAL CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33157 MIAMI 12 58% 33158 MIAMI * 0% 33160 NORTH MIAMI BEACH * 75% 33161 MIAMI 17 82% 33162 MIAMI 19 58% 33165 MIAMI * 75% 33166 MIAMI * 33% 33167 MIAMI * 57% 33168 MIAMI * 75% 33169 MIAMI * 67% 33170 MIAMI * 67% 33172 MIAMI * 40% 33173 MIAMI * 40% 33174 MIAMI * 50% 33175 MIAMI * 40% 33176 MIAMI 11 91% 33177 MIAMI 14 50% 33178 MIAMI * 20% 33179 MIAMI 11 82% 33180 MIAMI * 50% 33181 MIAMI * 80% 33182 MIAMI * 20% 33183 MIAMI * 22% 33184 MIAMI * 60% 33185 MIAMI * 100% 33186 MIAMI 14 29% 33187 MIAMI * 50% 33189 MIAMI * 50% 33190 MIAMI * 50% 33193 MIAMI * 50% 33196 MIAMI * 43% Miami-Dade County 628 53% State of Florida 3,945 51% US 48% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 6: CERVICAL CANCER - MONROE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** 33036 ISLAMORADA * 100% 33037 KEY LARGO * 33% 33040 KEY WEST * 100% 33042 SUMMERLAND KEY * 100% 33050 MARATHON * 0% 33070 TAVERNIER * 100% Monroe County 10 70% State of Florida 3,945 51% US 48% > 10% Increase in Percent Late Stage since 1997-2002 Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 7: COLORECTAL CANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33004 DANIA 49 63% 33009 HALLANDALE 120 72% 33019 HOLLYWOOD 47 55% 33020 HOLLYWOOD 97 69% 33021 HOLLYWOOD 143 65% 33023 HOLLYWOOD 120 68% 33024 HOLLYWOOD 140 66% 33025 HOLLYWOOD 112 65% 33026 HOLLYWOOD 84 64% 33027 HOLLYWOOD 169 60% 33028 HOLLYWOOD 35 69% 33029 HOLLYWOOD 73 64% 33060 POMPANO BEACH 78 50% 33061 POMPANO BEACH * 33% 33062 POMPANO BEACH 82 51% 33063 POMPANO BEACH 136 54% 33064 POMPANO BEACH 115 50% 33065 POMPANO BEACH 98 64% 33066 POMPANO BEACH 70 53% 33067 POMPANO BEACH 40 70% 33068 POMPANO BEACH 64 59% 33069 POMPANO BEACH 69 58% 33071 POMPANO BEACH 56 63% 33073 POMPANO BEACH 47 49% 33075 POMPANO BEACH * 100% 33076 POMPANO BEACH 22 64% 33301 FORT LAUDERDALE 19 58% 33302 FORT LAUDERDALE * 0% 33304 FORT LAUDERDALE 36 44% 33305 FORT LAUDERDALE 31 55% 33306 FORT LAUDERDALE 12 50% 33307 FORT LAUDERDALE * 0% 33308 FORT LAUDERDALE 98 57% 33309 FORT LAUDERDALE 59 61% 33310 FORT LAUDERDALE 33311 FORT LAUDERDALE 138 57% 33312 FORT LAUDERDALE 106 65% 33313 FORT LAUDERDALE 85 51% 33314 FORT LAUDERDALE 38 74% 33315 FORT LAUDERDALE 22 50% 33316 FORT LAUDERDALE 38 58% 33317 FORT LAUDERDALE 55 55%

APPENDIX 7: COLORECTAL CANCER - BROWARD COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33318 FORT LAUDERDALE * 100% 33319 FORT LAUDERDALE 133 49% 33321 FORT LAUDERDALE 187 60% 33322 FORT LAUDERDALE 131 47% 33323 FORT LAUDERDALE 21 38% 33324 FORT LAUDERDALE 101 45% 33325 FORT LAUDERDALE 46 57% 33326 FORT LAUDERDALE 49 78% 33327 FORT LAUDERDALE 13 54% 33328 FORT LAUDERDALE 56 63% 33330 FORT LAUDERDALE 23 57% 33331 FORT LAUDERDALE 20 65% 33332 FORT LAUDERDALE 14 86% 33334 FORT LAUDERDALE 67 57% 33335 FORT LAUDERDALE * 0% 33351 FORT LAUDERDALE 58 53% 33441 DEERFIELD BEACH 52 52% 33442 DEERFIELD BEACH 101 50% Broward County 3,889 59% State of Florida 44,885 57% US 59% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

APPENDIX 8: COLORECTAL CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33010 HIALEAH 110 65% 33012 HIALEAH 239 59% 33013 HIALEAH 104 53% 33014 HIALEAH 71 59% 33015 HIALEAH 94 53% 33016 HIALEAH 88 59% 33017 HIALEAH * 100% 33018 HIALEAH 76 68% 33030 HOMESTEAD 34 65% 33031 HOMESTEAD 11 27% 33032 HOMESTEAD 39 56% 33033 HOMESTEAD 60 62% 33034 HOMESTEAD 22 55% 33035 HOMESTEAD 8 63% 33039 HOMESTEAD * 50% 33054 OPA LOCKA 54 69% 33055 OPA LOCKA 91 64% 33056 OPA LOCKA 64 69% 33090 HOMESTEAD * 100% 33101 MIAMI * 100% 33109 MIAMI BEACH * 100% 33114 MIAMI * 33% 33116 MIAMI * 100% 33119 MIAMI BEACH * 100% 33124 MIAMI * 50% 33125 MIAMI 156 56% 33126 MIAMI 129 58% 33127 MIAMI 73 47% 33128 MIAMI 22 59% 33129 MIAMI 39 64% 33130 MIAMI 49 63% 33131 MIAMI 18 61% 33132 MIAMI 12 67% 33133 MIAMI 70 61% 33134 MIAMI 115 60% 33135 MIAMI 145 63% 33136 MIAMI 27 56% 33137 MIAMI 17 53% 33138 MIAMI 49 43% 33139 MIAMI BEACH 81 52% 33140 MIAMI BEACH 67 57% 33141 MIAMI BEACH 79 59%

APPENDIX 8: COLORECTAL CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33142 MIAMI 104 57% 33143 MIAMI 64 66% 33144 MIAMI 94 54% 33145 MIAMI 91 64% 33146 MIAMI 35 69% 33147 MIAMI 108 67% 33149 KEY BISCAYNE 17 53% 33150 MIAMI 55 47% 33152 MIAMI * 50% 33154 MIAMI BEACH 54 59% 33155 MIAMI 147 59% 33156 MIAMI 74 62% 33157 MIAMI 137 61% 33158 MIAMI 13 54% 33159 MIAMI * 100% 33160 NORTH MIAMI BEACH 128 63% 33161 MIAMI 78 72% 33162 MIAMI 63 71% 33164 MIAMI * 50% 33165 MIAMI 200 59% 33166 MIAMI 54 54% 33167 MIAMI 45 62% 33168 MIAMI 40 63% 33169 MIAMI 58 71% 33170 MIAMI 20 60% 33172 MIAMI 84 63% 33173 MIAMI 85 48% 33174 MIAMI 95 55% 33175 MIAMI 149 60% 33176 MIAMI 117 62% 33177 MIAMI 78 59% 33178 MIAMI 42 71% 33179 MIAMI 70 64% 33180 MIAMI 80 54% 33181 MIAMI 47 70% 33182 MIAMI 40 70% 33183 MIAMI 83 63% 33184 MIAMI 56 61% 33185 MIAMI 41 66% 33186 MIAMI 127 72% 33187 MIAMI 25 68% 33189 MIAMI 32 72%

APPENDIX 8: COLORECTAL CANCER - MIAMI-DADE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** 33190 MIAMI 13 62% 33193 MIAMI 67 55% 33194 MIAMI * 80% 33196 MIAMI 73 68% 33245 MIAMI * 100% 33265 MIAMI * 100% 33266 MIAMI * 0% 33283 MIAMI * 100% Miami-Dade County 5,432 61% State of Florida 44,885 57% US 59% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray > 10% Increase in Percent Late Stage since 1997-2002

APPENDIX 9: COLORECTAL CANCER - MONROE COUNTY, 2004-2008 Zipcode City/Area 5-Year Total Number of Cases Percent Diagnosed at Late Stage** > 10% Increase in Percent Late Stage since 1997-2002 33036 ISLAMORADA * 63% 33037 KEY LARGO 15 47% 33040 KEY WEST 85 67% 33042 SUMMERLAND KEY 16 75% 33043 BIG PINE KEY 16 69% 33051 KEY COLONY BEACH 27 48% 33052 MARATHON SHORES * 50% 33070 TAVERNIER 14 43% Monroe County 183 61% State of Florida 44,885 57% US 59% Sources: Florida Cancer Data System & NCI SEER Statistical Review 1975-2007 NOTES: * Fewer than 10 cases ** Late stage = regional + distant Percentages based on small numbers may not be reliable Percentages higher than the county are shown in red. Percentages significantly higher than the county (p<.1) are shaded in gray

Appendix 10: Demographic Data by ZIP Code Broward County ZIP Code Area 2009 Population Estimate % Black % Hispanic (all races) % Age 45-64 % Age 65+ Number of Households Average Household Size Median Household Income % Households with income <$25,000 33004 Dania 15,790 32.7 15.3 29.3 18.7 7,035 2.19 $42,742 30.1 33009 Hallandale 38,967 17.8 26.1 25.4 36.4 20,147 1.92 $34,867 36.4 33019 Hollywood 16,367 2 20.3 32 28 8,835 1.84 $60,698 18 33020 Hollywood 41,306 26 28.7 27.4 13.6 18,064 2.24 $35,943 34.6 33021 Hollywood 47,342 8.5 24.8 27.7 23.6 20,527 2.28 $53,454 20.2 33023 Hollywood 64,244 47.6 29.6 24.4 9.6 20,321 3.16 $47,863 22.8 33024 Hollywood 64,825 11.1 40.8 25.7 10.9 22,666 2.86 $54,426 18.2 33025 Hollywood 58,473 42.8 29.5 21.8 9.6 20,544 2.82 $60,902 13.1 33026 Hollywood 30,109 8.6 27.6 30.6 15.3 11,520 2.61 $71,693 11.8 33027 Hollywood 52,387 15.6 49.3 20.7 19.9 19,794 2.65 $71,555 19.2 33028 Hollywood 27,608 13.9 45.3 23.3 4.9 8,663 3.19 $114,808 4 33029 Hollywood 46,323 15.4 46.4 23.8 4.5 13,350 3.42 $123,297 4.6 33060 Pompano Beach 35,380 37.7 16.1 25.6 15.7 13,431 2.58 $43,183 28.4 33062 Pompano Beach 24,495 1 8.2 33.9 38.9 13,687 1.76 $54,576 20.1 33063 Pompano Beach 51,516 11.3 20.3 26.5 22 22,394 2.29 $50,985 21.9 33064 Pompano Beach 53,268 22.4 19.1 27 15.5 20,729 2.53 $46,691 23.3 33065 Pompano Beach 54,684 16 26.5 24 9.6 18,712 2.9 $54,300 18.2 33066 Pompano Beach 17,214 4.4 9 19 52.3 9,266 1.84 $49,834 21 33067 Pompano Beach 26,526 5.9 15 29.9 5.2 8,569 3.09 $99,395 5.9 33068 Pompano Beach 51,235 34.1 28.9 23.7 8 16,598 3.08 $51,307 19.1 33069 Pompano Beach 25,098 34.3 15.2 22.6 27.8 11,065 2.07 $45,054 24.5 33071 Pompano Beach 40,510 7.1 19.4 32.8 7.4 13,447 3.01 $83,305 6.3 33073 Pompano Beach 26,061 9.8 22.6 23.4 8.3 9,854 2.64 $72,904 10.7 33076 Pompano Beach 29,868 6.7 17 28.1 3.8 9,045 3.3 $154,105 2.6 33301 Fort Lauderdale 14,322 21.6 11.4 28.7 13.7 6,684 1.86 $58,553 20.3 33304 Fort Lauderdale 18,632 20 12.8 28.6 15.8 9,495 1.89 $45,043 27.5 33305 Fort Lauderdale 12,061 9.3 11.7 34.8 17.9 6,197 1.92 $52,846 20.5 33306 Fort Lauderdale 3,985 1.4 9.2 36.5 22.5 2,058 1.88 $66,878 14.7 33308 Fort Lauderdale 30,017 1.4 10.6 34.8 33.3 16,664 1.78 $57,713 18.6 33309 Fort Lauderdale 36,724 37.7 17.7 26.5 11.9 13,679 2.57 $50,698 20.3 33311 Fort Lauderdale 70,015 84 4.2 23.3 11.7 22,512 3.05 $32,399 39.5 33312 Fort Lauderdale 49,088 35.3 19.9 29.6 12.2 18,582 2.62 $49,313 24 33313 Fort Lauderdale 58,197 70.1 9.8 22.7 11.6 21,021 2.72 $37,442 32 33314 Fort Lauderdale 24,018 6.5 31.6 24.4 10.4 9,645 2.48 $46,140 25.4 Appendix 10

ZIP Code Area 2009 Population Estimate % Black % Hispanic (all races) % Age 45-64 % Age 65+ Number of Households Average Household Size Median Household Income % Households with income <$25,000 Broward County (continued) 33315 Fort Lauderdale 13,370 9.3 22.7 33.4 13.5 6,315 2.1 $54,176 20.5 33316 Fort Lauderdale 11,058 6.3 14.3 32.2 24.4 5,974 1.75 $59,977 16.8 33317 Fort Lauderdale 35,366 23.4 23.4 28.4 14.2 12,326 2.85 $64,863 16 33319 Fort Lauderdale 43,187 38.2 15 23.6 29.9 19,706 2.18 $42,695 27.5 33321 Fort Lauderdale 42,521 9 19.9 24.5 38.7 20,893 2.02 $45,117 26.9 33322 Fort Lauderdale 40,279 12.8 17.3 25.9 32.2 18,233 2.21 $47,551 27.8 33323 Fort Lauderdale 18,663 13.4 25.2 28.6 6.8 6,061 3.08 $80,520 5.6 33324 Fort Lauderdale 43,480 8.2 20.7 27.6 17.6 19,225 2.25 $59,571 15.4 33325 Fort Lauderdale 27,024 5.2 25.1 29.9 8.1 9,251 2.91 $69,334 10.4 33326 Fort Lauderdale 32,963 4.1 39.3 28.1 9.5 11,300 2.92 $82,051 11.4 33327 Fort Lauderdale 19,773 4.1 37.7 24.1 4.8 6,031 3.28 $169,336 5.1 33328 Fort Lauderdale 24,096 2.8 18.9 31.4 11.2 8,654 2.78 $77,227 10.7 33330 Fort Lauderdale 14,739 4.6 26.1 33.9 8.3 4,535 3.25 $104,591 5 33331 Fort Lauderdale 22,692 5.9 36.8 27.4 5.7 6,865 3.3 $124,221 4.4 33332 Fort Lauderdale 8,720 4.8 34.9 29.3 6.8 2,195 3.94 $145,122 4.6 33334 Fort Lauderdale 31,416 14.5 29 28.1 11.6 12,904 2.4 $45,489 24.7 33351 Fort Lauderdale 35,631 22.4 26.3 25.5 9.5 12,763 2.72 $56,482 14.4 33441 Deerfield Beach 27,814 28.9 12.7 26.3 19.2 12,057 2.3 $44,885 26.2 33442 Deerfield Beach 29,316 5.6 11.7 23.6 41.1 15,491 1.85 $43,828 27.6 From Health Council of South Florida: http://www.healthcouncil.org/healthprofiles.asp Data Source: Community Sourcebook America 2009 Edition, ESRI Appendix 10

Miami-Dade County ZIP Code Area 2009 Population Estimate % Black % Hispanic (all races) % Age 45-64 % Age 65+ Number of Households Average Household Size Median Household Income % Households with income <$25,000 33010 Hialeah 47,344 3.1 95.1 25.9 19.7 15,476 2.96 $28,381 44.2 33012 Hialeah 72,913 1.3 94.1 25.4 20.7 23,706 3.03 $35,124 34.1 33013 Hialeah 33,584 1.2 94.6 25.7 21.1 10,140 3.27 $39,807 29.8 33014 Hialeah 39,511 3.9 84.7 24.8 12.5 13,906 2.83 $49,219 24.3 33015 Hialeah 60,827 14 73.7 21.7 7.3 20,212 3 $54,913 15.9 33016 Hialeah 47,681 2.5 92.6 23.6 10.2 14,370 3.26 $45,581 25.1 33018 Hialeah 44,322 2.2 92 24.5 8.7 12,022 3.67 $58,457 13 33030 Homestead 30,555 18 60.3 18.9 7.3 8,924 3.37 $36,437 34.3 33031 Homestead 6,172 2.3 45.7 33.4 12.7 2,043 2.98 $70,828 10.8 33032 Homestead 34,606 36.4 51.2 20.6 7.3 9,188 3.73 $39,465 31.7 33033 Homestead 50,417 14.4 70.6 19.3 8.5 14,670 3.43 $40,370 28.8 33034 Homestead 18,838 33.7 49.4 19.1 7.2 4,896 3.34 $29,453 43.4 33035 Homestead 4,490 10.1 38 23.3 18.8 1,984 2.21 $47,044 24.4 33039 Homestead 460 33.3 58 18.5 4.2 13 4.85 $14,077 100 33054 Opa Locka 29,418 72.6 26.5 21.9 10.2 9,009 3.12 $28,717 44.4 33055 Opa Locka 46,008 34.5 61.9 24.3 11 12,626 3.6 $47,665 22.4 33056 Opa Locka 36,850 85.2 13.7 23.3 8.4 10,555 3.46 $48,131 22.7 33109 Miami Beach 1,118 2.9 54.1 25.2 38.5 521 2 $20,694 55.5 33125 Miami 52,259 4 93.5 24.3 19.5 18,396 2.81 $25,908 48.2 33126 Miami 48,581 1.7 94.9 25 18.2 17,196 2.79 $35,215 34.5 33127 Miami 29,552 60 39.4 23.3 11.7 9,386 3.05 $25,199 49.6 33128 Miami 6,594 5.6 94.4 23.5 20 2,734 2.33 $15,167 64 33129 Miami 12,057 1.2 75 28.9 18.4 6,133 1.95 $73,358 15.8 33130 Miami 23,206 4.3 93.9 24.9 18.5 9,703 2.38 $17,416 61.7 33131 Miami 8,655 8.3 68.3 25.6 10.7 4,870 1.74 $65,278 24.2 33132 Miami 7,076 18.3 66.2 24.9 12.3 2,972 1.69 $31,816 43.5 33133 Miami 31,424 14.4 55.8 28.2 16.2 13,864 2.25 $59,902 22.4 33134 Miami 35,108 0.8 79.1 27.6 21.1 15,367 2.28 $63,457 17.6 33135 Miami 36,223 2 95.7 26 22.6 14,157 2.54 $24,051 51.1 33136 Miami 15,016 61.3 34.2 21.5 10.5 5,547 2.54 $17,047 61.3 33137 Miami 19,556 33.6 48.4 25.6 12 7,516 2.43 $37,671 35 33138 Miami 28,680 37.3 31.5 29.2 12.3 11,525 2.47 $42,569 33.7 33139 Miami Beach 40,331 3.6 63.1 23.4 20.4 24,875 1.58 $39,165 33.2 33140 Miami Beach 21,950 1.5 55 27.9 23.7 10,663 2.05 $59,674 23.8 33141 Miami Beach 37,117 4.8 74.7 27.6 15.3 16,630 2.21 $31,690 39.6 33142 Miami 55,138 50.6 51 22.8 12.9 17,054 2.97 $22,489 53.3 33143 Miami 31,271 12.5 55.3 28 13.6 12,908 2.41 $56,894 20.9 33144 Miami 23,526 0.9 93.3 26.2 27 7,847 2.96 $42,478 28.6 33145 Miami 30,304 1.4 91.2 27 21.4 10,751 2.8 $42,970 28.2 33146 Miami 13,511 5.8 49.7 22.2 11.9 4,045 2.46 $128,542 8.8 33147 Miami 46,514 61.2 37.9 22.7 12.1 13,709 3.36 $27,193 45.6 33149 Key Biscayne 10,981 0.5 65.2 29.4 16.1 4,449 2.47 $113,032 11.1 33150 Miami 26,747 66.7 25.6 24.3 10.4 8,802 3.02 $27,930 44.8 Appendix 10